COE Learning Network: Risk Assessment

September 20, 2023

The activity will allow the COE healthcare teams to understand how client risk is vital in treatment of patients with OUD and how it figures into the care plan and management of the patient.

Agenda:

  1. Overview of Overdose
  2. Risk Factors Associated with Overdose
    1. Having experienced a previous overdose
      1. Tolerance
        1. Increased volume of drugs used to produce euphoria
        2. False perception of immunity
      2. Environmental factors
        1. Adulterated drugs in the environment
        2. Drug use normalized
      3. Inadequate follow-up care
    2. Polysubstance use
      1. Intentional
      2. Unintentional (Adulteration)
      3. Statistics on polysubstance overdose
      4. Common dangerous combinations
        1. Opioids and benzodiazepines.
        2. Alcohol and opioids.
        3. Cocaine and opioids
      5. Effects on the body
        1. Respiratory depression.
        2. Increased sedation
        3. Unpredictable reactions
        4. Potential for toxicity.
    3. Intravenous Drug Use
      1. Direct drug delivery
      2. Rapid onset
      3. Associated Dangers
        1. Abscesses and bacterial infections at injection sites.
        2. Risk of transmitting blood-borne diseases
        3. Potential for arterial injection
    4. Social Determinants of Health
      1. Socioeconomic status and poverty.
        1. Houselessness
      2. Education and awareness levels.
      3. Access to healthcare and treatment services.
      4. Stigma and discrimination in communities.
    5. Medical Conditions
      1. Respiratory Conditions
      2. Liver and Kidney Diseases
    6. Mental Health Conditions
    7. Pregnancy
      1. Effects on the mother
        1. Changes in metabolism
        2. Increased sensitivity to substances
        3. Overdose risk
      2. Effects on the Fetus
        1. Neonatal abstinence syndrome (NAS).
        2. Potential for adverse effects
          1. birth defects
          2. low birth weight
          3. preterm birth.
    8. Criminal Justice Involvement
      1. Prevalence of OUD among those incarcerated
      2. Tolerance
  3. Risk Assessment
    1. Systematic process
      1. Gather relevant information and data
      2. Identify potential barriers
      3. Analyze risks based on assessment
      4. Develop strategies for mitigation of risk
      5. Review and update assessments regularly
    2. Scope of assessment
    3. Factors for Risk
    4. Levels of Risk
      1. High
      2. Moderate
      3. Low
    5. Goals of Risk Assessment
      1. Informing SUD care
      2. Identifying the need for intervention
      3. Engaging patients
    6. Application
      1. Tailor care plans to specific needs & preferences
      2. Ensure patient safety
      3. Optimize health outcomes
  4. Discussion/ Questions

Target Audience

Nurse

Physician

Social Worker

Learning Objectives

  • Describe the importance of assessing client risk for individuals with opioid use disorder (OUD).
  • Identify the specific factors that cause a higher risk of overdose.
  • Discuss how to use risk assessments in planning and providing care management services.

Additional Information

AttachmentSize
File Audience Disclosure slides (1.25)_31.pptx51.52 KB
File Risk_Assessment_Objectives_Questions_References_.docx51.64 KB
PDF icon Client Risk Assessment_JB.pdf1.63 MB
Course summary
Available credit: 
  • 1.25 AMA PRA Category 1 Credit™
    The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
  • 1.25 ANCC
    UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
  • 1.25 ASWB
  • 1.25 Attendance
Course opens: 
09/20/2023
Course expires: 
12/31/2023
Event starts: 
09/20/2023 - 12:00pm EDT
Event ends: 
09/20/2023 - 1:30pm EDT
Add to calendar: 

The activity will allow the COE healthcare teams to understand how client risk is vital in treatment of patients with OUD and how it figures into the care plan and management of the patient.

Agenda:

  1. Overview of Overdose
  2. Risk Factors Associated with Overdose
    1. Having experienced a previous overdose
      1. Tolerance
        1. Increased volume of drugs used to produce euphoria
        2. False perception of immunity
      2. Environmental factors
        1. Adulterated drugs in the environment
        2. Drug use normalized
      3. Inadequate follow-up care
    2. Polysubstance use
      1. Intentional
      2. Unintentional (Adulteration)
      3. Statistics on polysubstance overdose
      4. Common dangerous combinations
        1. Opioids and benzodiazepines.
        2. Alcohol and opioids.
        3. Cocaine and opioids
      5. Effects on the body
        1. Respiratory depression.
        2. Increased sedation
        3. Unpredictable reactions
        4. Potential for toxicity.
    3. Intravenous Drug Use
      1. Direct drug delivery
      2. Rapid onset
      3. Associated Dangers
        1. Abscesses and bacterial infections at injection sites.
        2. Risk of transmitting blood-borne diseases
        3. Potential for arterial injection
    4. Social Determinants of Health
      1. Socioeconomic status and poverty.
        1. Houselessness
      2. Education and awareness levels.
      3. Access to healthcare and treatment services.
      4. Stigma and discrimination in communities.
    5. Medical Conditions
      1. Respiratory Conditions
      2. Liver and Kidney Diseases
    6. Mental Health Conditions
    7. Pregnancy
      1. Effects on the mother
        1. Changes in metabolism
        2. Increased sensitivity to substances
        3. Overdose risk
      2. Effects on the Fetus
        1. Neonatal abstinence syndrome (NAS).
        2. Potential for adverse effects
          1. birth defects
          2. low birth weight
          3. preterm birth.
    8. Criminal Justice Involvement
      1. Prevalence of OUD among those incarcerated
      2. Tolerance
  3. Risk Assessment
    1. Systematic process
      1. Gather relevant information and data
      2. Identify potential barriers
      3. Analyze risks based on assessment
      4. Develop strategies for mitigation of risk
      5. Review and update assessments regularly
    2. Scope of assessment
    3. Factors for Risk
    4. Levels of Risk
      1. High
      2. Moderate
      3. Low
    5. Goals of Risk Assessment
      1. Informing SUD care
      2. Identifying the need for intervention
      3. Engaging patients
    6. Application
      1. Tailor care plans to specific needs & preferences
      2. Ensure patient safety
      3. Optimize health outcomes
  4. Discussion/ Questions
Zoom Meeting
Pittsburgh, PA
United States

Elizabeth Schrage LCSW

In support of improving patient care, this activity has been planned and implemented by the University of Pittsburgh and The Jewish Healthcare Foundation. The University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
As a Jointly Accredited Organization, University of Pittsburgh is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. University of Pittsburgh maintains responsibility for this course. Social workers completing this course receive 1.25 continuing education credits.

Physician (CME)
The University of Pittsburgh designates this live activity for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing (CNE)
The maximum number of hours awarded for this Continuing Nursing Education activity is 1.25 contact hours.

Social Work (ASWB)
The maximum number of hours awarded for this Continuing Social Work Education activity is 1.25 contact hours.

Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.

Available Credit

  • 1.25 AMA PRA Category 1 Credit™
    The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
  • 1.25 ANCC
    UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
  • 1.25 ASWB
  • 1.25 Attendance
Please login or register to take this course.